| NPI | 1467202374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD ANTHONY BAILEY Owner 803-633-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |